<style type="text/css">
    .layui-layer-page .layui-layer-content{
        overflow: initial;
    }
</style>
<form style="padding:10px 10px 20px 20px" class="layui-form" lay-filter="form-invoiceinfo-base-manage" id="form-invoiceinfo-base-manage" method="post" onsubmit="return false">
    <div class="layui-row">
        <div class="layui-col-md6 pr10">
            <label class="layui-form-label"><span class="text-danger">*</span>纳税人识别号</label>
            <div class="layui-input-block">
                <input name="taxpayerNo" class="layui-input" lay-verify="required" placeholder="请输入纳税人识别号" maxlength="18"/>
            </div>
        </div>
        <div class="layui-col-md6 pr10">
            <label class="layui-form-label"><span class="text-danger">*</span>开户银行</label>
            <div class="layui-input-block">
                <input name="invoiceBankName" class="layui-input" lay-verify="required" placeholder="请输入开户银行"/>
            </div>
        </div>
    </div>
    <div class="layui-row">
        <div class="layui-col-md6 pr10">
            <label class="layui-form-label"><span class="text-danger">*</span>银行账号</label>
            <div class="layui-input-block">
                <input name="invoiceBankAccount" class="layui-input" lay-verify="required" placeholder="请输入银行账号"/>
            </div>
        </div>
        <div class="layui-col-md6 pr10">
            <label class="layui-form-label"><span class="text-danger">*</span>开票电话</label>
            <div class="layui-input-block">
                <input name="invoiceBankTel" class="layui-input" lay-verify="required" placeholder="请输入开票电话"/>
            </div>
        </div>
    </div>
    <div class="layui-row">
        <div class="layui-col-md12 pr10">
            <label class="layui-form-label"><span class="text-danger">*</span>开票地址</label>
            <div class="layui-input-block">
                <input name="invoiceBankAddress" class="layui-input" lay-verify="required" placeholder="请输入开票地址"/>
            </div>
        </div>
    </div>
    <div class="layui-row">
        <div class="layui-col-md12 pr10">
            <label class="layui-form-label">开票资料盖章件</label>
            <div class="layui-input-block">
                <div class="upload-box" style="display: block" file-id="" file-type="customer" business-type="cus_invoice"
                     file-memo="开票资料盖章件"></div>
            </div>
        </div>
    </div>
    <div class="layui-row">
        <div class="layui-col-md12 pr10">
            <label class="layui-form-label">开票要求</label>
            <div class="layui-input-block">
                <input name="invoiceMemo" class="layui-input"/>
            </div>
        </div>
    </div>
    <div class="layui-row">
        <div class="layui-col-md6 pr10">
            <label class="layui-form-label"><span class="text-danger">*</span>收票联系人</label>
            <div class="layui-input-block">
                <input name="linkPerson" class="layui-input" lay-verify="required" placeholder="请输入收票联系人"/>
            </div>
        </div>
        <div class="layui-col-md6 pr10">
            <label class="layui-form-label"><span class="text-danger">*</span>联系电话</label>
            <div class="layui-input-block">
                <input name="linkTel" class="layui-input" lay-verify="required" placeholder="请输入联系电话"/>
            </div>
        </div>
    </div>
    <div class="layui-row">
        <div class="layui-col-md12 pr10">
            <label class="layui-form-label"><span class="text-danger">*</span>收票区域</label>
            <div class="layui-input-block required-box">
                <div class="layui-col-md4">
                    <select class="layui-input" lay-verify="required" lay-filter="company-invoice-manage-province" id="company-invoice-manage-province" name="invoiceProvince"></select>
                </div>
                <div class="layui-col-md4" style="margin-left: -1px;">
                    <select class="layui-input" lay-verify="required" lay-filter="company-invoice-manage-city" id="company-invoice-manage-city"  name="invoiceCity" ></select>
                </div>
                <div class="layui-col-md4" style="margin-left: -1px;">
                    <select class="layui-input" lay-verify="required" id="company-invoice-manage-area"  name="invoiceArea"></select>
                </div>
            </div>
        </div>
    </div>
    <div class="layui-row">
        <div class="layui-col-md12 pr10">
            <label class="layui-form-label"><span class="text-danger">*</span>详细地址</label>
            <div class="layui-input-block">
                <input name="linkAddress" class="layui-input" lay-verify="required" placeholder="请输入详细地址"/>
            </div>
        </div>
    </div>
    <div class="layui-row">
        <div class="layui-col-md12 pr10 normal">
            <button lay-submit lay-filter="invoiceInfo-save" class="layui-btn fr"><i class="iconfont iconicon-1"></i>&nbsp;保存</button>
        </div>
    </div>
</form>